Individual provider Active NPI

Madison Rasak Thomas, LCSW

  • Clinical Social Worker
  • Pantego, TX
National Provider Identifier
1487545588
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109455 Issued in TX
Practice address
3615 W Pioneer Pkwy Ste D
Pantego, TX 76013-4518
Phone
(682) 587-7747
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 109455 TX Primary

Addresses

Primary practice location

3615 W Pioneer Pkwy Ste D
Pantego, TX 76013-4518

Mailing address

3615 W Pioneer Pkwy Ste D
Pantego, TX 76013-4518
Phone (682) 587-7747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250818003689 TX Practitioner - Clinical Social Worker 0345749263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3615 W Pioneer Pkwy
Suite D
Pantego, TX 76013-4518

6104 Tiffany Park CT
Arlington, TX 76016-2037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109455TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Salyer Counseling Group, PLLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

3615 W Pioneer Pkwy
Ste D
Pantego, TX 76013
Phone (682) 587-7747

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1487545588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 W PIONEER PKWY STE D",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134518",
            "telephone_number": "682-587-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 W PIONEER PKWY STE D",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134518",
            "telephone_number": "682-587-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MADISON",
        "middle_name": "RASAK",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pantego, TX

Sources for this page

Verify at the official NPI Registry.